This video explores the complex interplay between CAPTA laws, mandatory reporting, and perinatal substance use. It delves into the potential negative consequences of incarceration, overuse of drug testing, and family separation. The video highlights the limitations of urine toxicology testing and the importance of addressing racial inequities in the system. Viewers will learn about the reasons healthcare providers may report patients out of fear and the lack of evidence supporting the effectiveness of removing children from substance-exposed environments. The video advocates for a more compassionate and supportive approach, emphasizing the need for therapeutic alliances, trust, and clinical empathy. Clinicians will gain a deeper understanding of the challenges faced by perinatal individuals with substance use disorders and the importance of advocating for policy changes to improve outcomes.